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Accueil/ Traitements/ Lifting Mammaire

Lifting Mammaire

Breast lift

Breast Lift (Mastopexy) - Restore Youthful Position

A breast lift (mastopexy) raises and reshapes sagging breasts by removing excess skin and tightening surrounding tissue to create a more youthful, perky breast contour. Unlike breast augmentation which adds volume, a breast lift repositions existing breast tissue - though both procedures can be combined if you want lift AND size increase.

This procedure is ideal for women whose breasts have lost shape and firmness due to pregnancy, breastfeeding, weight fluctuations, aging, or gravity. Results restore confidence and allow you to wear clothing styles that may have been unflattering before.

Signs You Need a Breast Lift

  • Nipples Point Downward: Point below breast crease or toward floor
  • Nipples Below Breast Crease: Fallen below inframammary fold
  • Loss of Upper Fullness: Breasts empty/deflated on top
  • Stretched Skin: Poor elasticity, cannot "bounce back"
  • Asymmetry: One breast significantly lower than other
  • Breast Under Breast: Bottom breast tissue folds under itself

Degrees of Breast Sagging (Ptosis)

Grade 1: Mild Ptosis

Nipple at level of breast crease or slightly below (1cm). Minimal sagging.

Treatment: May respond to augmentation alone (implant lifts breast)

Grade 2: Moderate Ptosis

Nipple 1-3cm below breast crease but still above bottom breast contour.

Treatment: Breast lift required (lollipop or anchor technique)

Grade 3: Severe Ptosis

Nipple 3+ cm below breast crease, pointing downward, at lowest point of breast.

Treatment: Full breast lift with anchor incision necessary

Pseudoptosis

Nipple above breast crease but breast tissue sags below. Common after weight loss.

Treatment: Mini lift or augmentation may suffice

Breast Lift Techniques

Crescent Lift (Minimal Scarring)

Incision: Small crescent along top half of areola

Best for: Very mild sagging, often combined with implant

Scar: Thin line along top areola edge - barely visible

Donut (Periareolar) Lift

Incision: Circle around entire areola

Best for: Mild to moderate sagging

Scar: Ring around areola - blends with color change. Limited lifting power.

Lollipop (Vertical) Lift - Most Popular

Incision: Around areola + vertical line down to breast crease

Best for: Moderate ptosis (most common scenario)

Scar: Areola circle + vertical line. Good lifting power with reasonable scarring trade-off.

Anchor (Inverted-T) Lift

Incision: Around areola + vertical + horizontal along breast crease

Best for: Severe sagging or very large breasts needing significant reshaping

Scar: Most extensive but hidden in natural folds. Maximum lift achieved.

The Procedure

Step 1: Marking

While standing, surgeon marks new nipple position (usually at level of mid-upper arm when arms at sides) and skin to be removed.

Step 2: Incisions

Chosen technique (lollipop or anchor typically) executed. Nipple-areola complex remains attached to blood supply and nerves - repositioned higher, not removed and reattached.

Step 3: Reshaping

Excess skin removed. Breast tissue reshaped, lifted, and internally sutured to create supportive structure. Nipple moved to higher position.

Step 4: Closure

Skin closed with dissolving internal sutures + removable external sutures. Surgical bra applied. Surgery takes 2-3 hours.

Recovery Timeline

Week 1

Surgical bra 24/7. Moderate pain (feels tight, sore). Bruising and swelling. Cannot lift arms overhead. Shower day 2-3. Sutures removed day 5-7.

Week 2-4

Return to desk work week 2. Swelling 50% resolved. Breasts sit high (will settle). Wear sports bra. Light walking allowed.

Week 6-8

Resume all exercise including upper body. Underwire bras allowed. Scars pink and raised (normal - will fade).

Month 3-6

Breasts fully settled in final position. Swelling completely resolved. Scars continue fading.

Year 1

Final Result: Scars matured to thin white/pink lines. Breasts youthful and perky. Wear confidence-boosting clothing!

Breast Lift vs Augmentation: Which Do I Need?

Simple test: Put on bra. If your breasts fill the bra cup nicely but sit too low, you need a LIFT. If your breasts are positioned correctly but don't fill the cup, you need AUGMENTATION. If both problems exist, you need LIFT + AUGMENTATION COMBO.

  • • Lift Only: Maintain current size, just reposition higher
  • • Augmentation Only: Mild sagging - implant weight may provide slight lift
  • • Combo "Augmentation-Mastopexy": Want larger size AND lift - one surgery combines both (30% of patients)

Important Reality Check

  • Scars are permanent: Fade significantly but always visible close-up. Most women agree trade-off worth it for lifted breasts.
  • Results last 10-15 years: Aging and gravity continue - may need revision lift eventually
  • Future pregnancy will affect results: Best to wait until done having children
  • Cannot breastfeed reliably: Nipple repositioning may damage milk ducts (50% can still breastfeed, 50% cannot)
  • Scarring worse in smokers: Must quit 4 weeks before + after surgery

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Maintaining Results

Maximize longevity of your breast lift:

  • Wear supportive bras always (no underwire first 6 weeks, then required)
  • Maintain stable weight (10-15lb fluctuation okay)
  • Avoid future pregnancies (if possible)
  • Apply silicone scar gel daily for 6 months to minimize scarring
  • Protect scars from sun (UV darkens scars permanently)

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